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General NPI Number Information
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NPI Number | 1235651209
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Entity Type | Organization
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Legal Business Name | MONICA QUASTE COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 07/12/2017
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Last Update Date | 08/19/2020
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Provider Practice Location Address
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Address Line | 74 VAN SANT DR
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City | HAMILTON
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State | NJ
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Zip | 08690-2518
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Country | US
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Telephone | 609-273-7249
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Fax |
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Provider Business Mailing Address
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Address Line | 74 VAN SANT DR
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City | HAMILTON
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State | NJ
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Zip | 08690-2518
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Country | US
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Telephone | 609-273-7249
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING
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Name | KRISTEN FITZPATRICK
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Credential |
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Telephone | 774-345-4130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 37PC00384700
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License Number State | NJ
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